Patsaki Irini, Bachou Georgia, Sidiras Georgios, Nanas Serafim, Routsi Christina, Karatzanos Eleftherios
University of West Attica, Athens, Greece.
National and Kapodistrian University of Athens, Athens, Greece.
J Crit Care Med (Targu Mures). 2023 May 8;9(2):87-96. doi: 10.2478/jccm-2023-0011. eCollection 2023 Apr.
Millions of people face critical illnesses and need to be hospitalized in an Intensive Care Unit (ICU) annually worldwide. Despite the fact that survival rates of these patients have increased, they develop various cognitive, psychological and functional impairments. This study aims to investigate the significance of the recovery interventions following intensive care unit discharge, the effectiveness of the rehabilitative protocols and their possible deficits.
MEDLINE (PubMed) and Physiotherapy Evidence Database (PEDro) were searched for studies analyzing the recovery potentials post-ICU among adults, who spent at least 48 hours at the ICU. Methodological quality of the studies was assessed via PEDro Scale.
Nine randomized controlled trials were included. These took place mainly at specialized rehabilitation gyms as well as patients home environments. Studies analyses showed that treatment group showed improvement in functional ability in relation to control group. Nevertheless, differences between two groups were not statistically significant (P<0.05). The majority of studies assessed cardiorespiratory endurance and muscular strength.
The included rehabilitation programs were determined to be effective. Although they didn't prove any statistically significant difference between groups, quality of life enhancements and stress reduction were reported. Hence, new randomized controlled trials are required in order to provide more accurate data on the potential benefits of rehabilitation strategies among post-ICU patients.
全球每年有数百万人面临重大疾病，需要入住重症监护病房（ICU）。尽管这些患者的生存率有所提高，但他们仍会出现各种认知、心理和功能障碍。本研究旨在调查重症监护病房出院后康复干预的重要性、康复方案的有效性及其可能存在的不足。
检索MEDLINE（PubMed）和物理治疗证据数据库（PEDro），查找分析在ICU至少度过48小时的成年患者ICU后恢复潜力的研究。通过PEDro量表评估研究的方法学质量。
纳入了9项随机对照试验。这些试验主要在专门的康复健身房以及患者家中进行。研究分析表明，与对照组相比，治疗组的功能能力有所改善。然而，两组之间的差异无统计学意义（P<0.05）。大多数研究评估了心肺耐力和肌肉力量。
所纳入的康复计划被确定为有效。尽管它们没有证明两组之间有任何统计学上的显著差异，但报告称生活质量有所提高，压力有所减轻。因此，需要新的随机对照试验，以便为ICU后患者康复策略的潜在益处提供更准确的数据。
